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  • Csd Form 081

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CLIENT/CUSTOMER CONSENT FORM AND AUTHORIZATION The California Department of Community Services and Development (CSD) is a state agency that oversees energy assistance programs for lowincome families.

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How to fill out the Csd Form 081 online

Filling out the Csd Form 081 online is a straightforward process designed to facilitate access to essential energy assistance programs for low-income families. This guide will walk you through each section of the form, ensuring you have the necessary information to complete it accurately.

Follow the steps to successfully complete the Csd Form 081 online.

  1. Click the ‘Get Form’ button to retrieve the form and open it in your preferred online document editor.
  2. Begin filling out the first section titled 'Name(s) and mailing address.' Input your name as it appears on your utility bill. If the utility bill is not in your name, enter the name of the account holder. Then, provide your complete mailing address including street, unit number (if applicable), city, state, and zip code.
  3. In the next section labeled 'Utility service address,' check the box if the address where you receive utility services is different from your mailing address. If checked, enter your utility service address details, including street, unit number (if applicable), city, state, and zip code.
  4. In the 'Utility information' section, provide the name of your utility company and your service account number. If you receive services from multiple companies, ensure you input the corresponding names and account numbers for each.
  5. Proceed to the 'Authorization' section. If you are not the person listed on the utility account, both you and the account holder must initial and sign the form. Read the authorization statements carefully and provide initials in the designated areas to consent to the release of your information as detailed.
  6. Finally, ensure that all required signatures are present. Sign and date the form in the spaces provided, including the signature of the utility customer of record if different from yourself, and any additional utility customer if necessary.
  7. Once all sections are completed, save your changes. You can then download, print, or share the completed form as required.

Complete your Csd Form 081 online today to access energy assistance programs and services.

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LIHEAP provides one payment per program year. Under most circumstances, it takes approximately six weeks to process an application and pay the applicant. However, an incomplete/incorrect application will take additional time to process.

CSD-081 Authorization Form (REQUIRED FOR LIHEAP) - This form is only needed if the electric or gas bill is not in the applicant's name. Identification - This is required only for the applicant.

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